JANIS S MODIS
Nursing at Ivy Lk Dr, Odessa, FL

License number
Florida 5149113
Issued Date
Jan 25, 2001
Effective Date
Aug 19, 2009
Expiration Date
Jul 31, 2007
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
16148 Ivy Lake Dr, Odessa, FL 33556
3909 E Bay Dr, Bradenton Beach, FL 34217
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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